Homeschool Registration september 2 – December 16, 2026, 9am-2pm Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Homeschool Registration: September 2 - December 18, 2026IMPORTANT NOTE: No Homeschool on Monday, September 7 (Labor Day). Program pricing is $13/hour If this presents a hardship for your family, please reach out at ilsa@sproutsnatureschool.com to discuss possible options.Week Day OptionsMondays 9am-2pm - $910.00Wednesdays 9am-2pm - $1,040.00 Mondays Homeschool: September 14 - December 14, 2026. 14 weeks total Wednesday Homeschool: September 2 - December 16, 2026. 16 weeks total Extended Care Add On: $13 an hourMondays until 5:30pm - $637.00Wednesdays until 5:30pm - $728.00I need different timing - $0.00Please reach out to me at ilsa@sproutsnatureschool.com if you need different timingTransportation Add On: $15 per rideMondays: morning transport - $210.00Mondays: afternoon transport - $210.00Wednesdays: morning transport - $240.00Wednesdays: afternoon transport - $240.00Transportation is either for mornings or evenings (or both). If you are outside of the Madison area please reach out and we can see what we can coordinate!Notes on transportation needsPlease specify if you need certain days/weeks for transportation. We will contact you for further details and then get the correct pricing to you. Any details other you'd like to addParent/Guardian & Child Contact InformationParent/Guardian Name: *FirstLastRelationship to childParent/Guardian Email *Parent/Guardian Phone Number *Parent/Guardian's Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAdditional Guardian's Name (optional)FirstLastRelationship to childAdditional Guardian's Phone NumberBy filling this section of the form you are indicating that it is okay for us to contact this individual on behalf of the childAdditional Guardian's EmailBy filling this section of the form you are indicating that it is okay for us to contact this individual on behalf of the child Child's Name *FirstLastChild's Birthdate *NextMedical InformationName of child's physician *FirstLastPhysican's phone number *Physician's addressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIn the event of a medical emergency: *YesI consent to emergency medical care and treatment for my child while enrolled in programsPlease indicate if the child has any of the following health concerns *AsthmaCerebral palsyDiabetesEpilepsyBite/sting allergiesEating concernsOtherNonePlease elaborate on any of the boxes you've checked regarding health concernsPlease include any relevant information regarding triggers that may cause a problem, signs or symptoms for counselors to watch for, steps a counselor should follow, when to call a parent/guardian regarding symptoms, when the condition requires emergency medical careDoes your child have any food allergies or dietary needs?Does the child's medical history prohibit any activities for health reasons?Sprouts Nature School occasionally engages in adventure activities such as swimming, paddling, or climbing. Often, accommodations are available.Please describe the child's swimming ability *During Sprouts programming, when boating or swimming, all students will be required to wear a personal flotation device (PFD) unless otherwise specified by a parent/guardian.I would like to provide medication authorization for my child--- Select Choice ---YesNoSprouts Nature School cannot give non-prescription (ie. over the counter) or prescription medications to participants without written authorization. Medication information can be emailed to ilsa@sproutsnatureschool.com.I authorize sunscreen and/or bug spray application *--- Select Choice ---Yes - sunscreen and bug sprayYes - sunscreen onlyYes - bug spray onlyNo - neither sunscreen nor bug sprayHighly recommend putting on sunscreen and bug spray before arrival (during the warmer months).NextPlease review: Waiver and Permission to Transport Child Transportation Waiver *I give permission to transport my child/childrenI would prefer to either pick up early instead or figure out alternate transportationOptional: Please describe your needs regarding transportationPlease review: Sprouts Liability Waiver I agree to the terms in the Liability Waiver *YesPlease review: Sprouts Photo Release Policy I consent to the photo release on behalf of the child *YesNoPhotos help increase Sprouts Nature School visibility in the community but are not required.Please review: Sprouts Behavior Guidelines I agree to the Behavior Guidelines Policy *YesPlease review: Sprouts Packing List I agree to provide necessary materials or ask Sprouts for assistance *YesPlease review: Sprouts Payment and Cancellation Policy I agree to the Payment and Cancellation Policy *YesPlease review: Sprouts Late Pickup Policy I agree to the Late Pickup Policy *YesI consent to recieving email communications from Sprouts Nature School *YesThese emails may include: Program information and updates Weather, schedule, and location changes Billing and administrative communication Enrollment opportunities for future programs Occasional newsletters or announcements I understand that: My email will never be shared or sold. I may unsubscribe at any time by clicking unsubscribe in any email or contacting Sprouts Nature School.Payment Options *Pay full amount nowPay 50% deposit and 50% at start of program. NOTE: a seperate 50% form will be sent to you. The form below is for 100% payments by credit card.Contact Sprouts to set up a monthly payment planTotal$0.00Payment Method *Venmo to @sproutsnatureschoolZelle to 608-320-9279CashCheckCredit Card - BelowCredit Card: only complete information for 100% paymentThis page is insecure. Credit Card field should be used for testing purposes only.If you are needing to pay by credit card and do a 50% deposit, please contact ilsa@sproutsnatureschool.com for a different form.Thank you for registering!Once payment is received your spot will be officially reserved. Looking forward to seeing you soon!Submit